Print Violation: 00415601-AP-366920

Provider Information

St Andrews Memory Care Community

7617 SE MAIN ST
Portland, OR 97215

Date: 7/24/2025
Report number: 00415601-AP-366920
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) relies on the facility for care and assistance with their medications. According to an investigation, the facility received an antibiotic eye medication order for AV on July 19, 2025, but it did not contain the physician's signature. The facility failed to follow-up with the physician to obtain the signature needed for approximately five (5) days. The facility administered the first dose of the antibiotic eye drops on or about July 24, 2025, resulting in a delay in treatment which caused unreasonable discomfort and pain to AV from their infected eyes. The facility failed to provide a safe medication administration system to ensure the Alleged Victim’s (AV) medications were administered as ordered, which is considered neglect of care and constitutes abuse.
Sanction: RCFCP26-00215 $1000.00 fine assessed